| Center For Regenerative Medicine Pa | |
|
3525 Highway 5 N Ste 200 Bryant AR 72019-9092 | |
| (501) 333-6654 | |
| Not Available |
| Full Name | Center For Regenerative Medicine Pa |
|---|---|
| Speciality | General Practice |
| Location | 3525 Highway 5 N Ste 200, Bryant, Arkansas |
| Authorized Official Name and Position | Gerald Stipanuk (INCORPORATER/ORGANIZER/OWNER) |
| Authorized Official Contact | 8702010534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Regenerative Medicine Pa 3525 Highway 5 N Ste 200 Bryant AR 72019-9092 Ph: (501) 333-6654 | Center For Regenerative Medicine Pa 3525 Highway 5 N Ste 200 Bryant AR 72019-9092 Ph: (501) 333-6654 |
| NPI Number | 1093364820 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 08/18/2021 |
| Medicare PECOS PAC ID | 4183053127 |
|---|---|
| Medicare Enrollment ID | O20200326002461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093364820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Randall L Roth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417912759 PECOS PAC ID: 3274560479 Enrollment ID: I20100125000193 |
| Provider Name | Ryan N Roth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891165395 PECOS PAC ID: 5597065813 Enrollment ID: I20151118001280 |
| Provider Name | David Lamont Mccombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205315900 PECOS PAC ID: 5395883540 Enrollment ID: I20181015001030 |
| Provider Name | Lawana Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306489281 PECOS PAC ID: 9133559776 Enrollment ID: I20200422000124 |
| Provider Name | Michelle Ann Orange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578190088 PECOS PAC ID: 0840619045 Enrollment ID: I20201007000484 |
Noydeen Medical Group Bryant Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Springhill Rd Ste 110, Bryant, AR 72019 Phone: 501-575-0081 | |
Central Arkansas Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Springhill Rd, Bryant, AR 72019 Phone: 501-776-6252 Fax: 501-776-6271 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Bryant Ave, Suite 1, Bryant, AR 72022 Phone: 501-653-0353 Fax: 501-653-0347 | |
Sarah Williams, Aprn, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22461 Interstate 30 Ste 402, Bryant, AR 72022 Phone: 501-481-8800 | |
Atlas Healthcare Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Office Park Dr Ste 2, Bryant, AR 72022 Phone: 501-539-6836 | |
Arkansas Premier Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22461 I 30 Ste 402, Bryant, AR 72022 Phone: 501-303-8289 |